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Iatrogenic post biopsy hemobilia with pseudoaneurysm
Muhammad Saleem Qureshi1, Musarrat Iqbal1, Muhammad Qaisar Butt1
1Department of Medicine, Khan Research Laboratories (KRL) Hospital, Islamabad.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|November 19, 2014
Summary
Hemobilia, or bleeding into bile ducts, is rare but can cause upper gastrointestinal bleeding. This case shows successful treatment of post-biopsy hemobilia using balloon sweep thrombectomy and embolization.
Area of Science:
- Gastroenterology
- Interventional Radiology
- Hepatology
Background:
- Hemobilia involves bleeding into the biliary tree, often from abnormal vessel-duct connections.
- It is an infrequent cause of upper gastrointestinal hemorrhage, frequently iatrogenic.
Observation:
- A young woman presented with hemobilia following a percutaneous liver biopsy.
- Symptoms included the classic Quincke's triad (jaundice, abdominal pain, gastrointestinal bleeding).
Findings:
- The hemobilia was secondary to the percutaneous liver biopsy procedure.
- Combined biliary balloon sweep thrombectomy and transarterial embolization were employed for treatment.
Implications:
- This case highlights a rare complication of liver biopsy.
- Successful management with combined interventional techniques offers a potential treatment pathway for hemobilia.
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